Community Guide – Innovations Waiver

​​​​​​Click here for full service definition information in the Clinical Coverage Policy.

Community Guide provide support to individuals and planning teams that assist participants in developing social networks and connections within the community. The purpose of the service is to promote self-determination, increase independence, and enhance the individual's ability to interact and contribute in the local community. Some activities of the community guide may include advocacy, assistance in accessing non-Medicaid services, and informal counseling to help guide the individual in problem solving and decision making. The service also supports individuals, representatives, and managing employers who direct their own waiver services. Activities may include training for the Individual and Family Directed Supports, assisting with development of staff schedules, and guidance with managing the participant directed budget.

Intended Population

  • This is a service offered under the NC Innovations Waiver This service is available to any NC Innovations waiver participant who needs to develop social networks and community connections and/or support to direct their own waiver services with either of the two models approved in this waiver: Employer of Record or Agency with Choice

Best Practices

  • Core Best Practices

  • Demonstration of competencies outlined in Community Guide Training Curriculum


  • Core Expected Outcomes

  • Improved scores on the Community Guide Survey

  • Improvement of CQL Personal Outcome Measures

  • Development of natural supports

  • Achievement of community integration that reflects the individual's preference

  • Decrease in SIS scores over time

​Management Approach

  • Core Management Strategies

  • The service is billed one unit per month. The service may be provided in a variety of community locations. The service may not be provided in a group setting. Providers will be monitored through clinical review activities that focus on use patterns and clinical appropriateness of service.